Individual provider Active NPI

John Farlan Hawley, OD

  • Optometrist
  • Bakersfield, CA
National Provider Identifier
1881634780
Registry record updated May 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
CA8487T Issued in CA
Practice address
3911 Coffee Rd Ste B
Bakersfield, CA 93308-5024
Phone
(661) 588-8222
Fax
(661) 588-0222
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X CA8487T CA Primary

Addresses

Primary practice location

3911 Coffee Rd Ste B
Bakersfield, CA 93308-5024

Mailing address

3911 Coffee Rd Ste B
Bakersfield, CA 93308-5024
Phone (661) 588-8222

Other identifiers 1

IdentifierTypeStateIssuer
SD0084870MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CA8487TCAMDOptometrist
8487CAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cha Medical and Surgical Group, PC PastSince Nov 18, 2018 Accepting new patients
Charles D. Fritch, M.D., Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/ZovcCzFH9WoaIYAtfnADtCEJJqhJ7vbO/
  • FHIR API: https://app.meldrx.com/api/fhir/imedicware_chamg

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274400000000",
    "number": "1881634780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 COFFEE RD STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085024",
            "telephone_number": "661-588-8222",
            "fax_number": "661-588-0222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 COFFEE RD STE B",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933085024",
            "telephone_number": "661-588-8222",
            "fax_number": "661-588-0222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWLEY",
        "first_name": "JOHN",
        "middle_name": "FARLAN",
        "name_prefix": "Dr.",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2010-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "CA8487T",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SD0084870",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.